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Francisco J. Ruiz, Paula Odriozola-González and Juan C.

Suárez-Falcón

ISSN 0214 - 9915 CODEN PSOTEG


Psicothema 2014, Vol. 26, No. 3, 308-313
Copyright © 2014 Psicothema
doi: 10.7334/psicothema2013.221 www.psicothema.com

The Spanish version of the Believability of Anxious Feelings


and Thoughts Questionnaire
Francisco J. Ruiz1, Paula Odriozola-González2 and Juan C. Suárez-Falcón3
1
Universidad de Zaragoza, 2 Universidad de Oviedo and 3 Universidad Nacional de Educación a Distancia (UNED)

Abstract Resumen
Background: Cognitive fusion is suggested to play an important Versión española del Cuestionario de Credibilidad de Sentimientos y
role in the etiology and maintenance of anxiety disorders according Pensamientos Ansiógenos. Antecedentes: la fusión cognitiva juega un
to Acceptance and Commitment Therapy. This study presents the papel importante en la etiología y mantenimiento de los trastornos de
psychometric data of the Spanish version of a cognitive fusion measure ansiedad según la Terapia de Aceptación y Compromiso. Este estudio
in the context of anxiety: the Believability of Anxious Feelings and presenta datos psicométricos de la versión española del Cuestionario
Thoughts Questionnaire (BAFT). Method: First, we back-translated the de Credibilidad de Sentimientos y Pensamientos Ansiógenos (BAFT).
BAFT into Spanish and then, administered it to three samples, with a Método: se realizó una traducción inversa del BAFT al español
total of 598 participants, in addition to other relevant anxiety measures. y se administró a tres muestras, con un total de 598 participantes,
Results: Data were very similar to those obtained with the original BAFT conjuntamente con otras medidas de ansiedad. Resultados: los datos
version. The BAFT showed a very good internal consistency (overall α fueron muy similares a los obtenidos en la versión original del BAFT.
= .92) and a hierarchical factor structure with two lower-order factors El BAFT mostró una muy buena consistencia interna (alfa promedio de
and one hierarchical factor. Participants showing mild levels of anxiety .92) y una estructura jerárquica con dos factores de primer orden y un
symptoms scored higher on the BAFT than participants who scored below factor de segundo orden. Los participantes con niveles moderados de
the cutoffs. BAFT scores were significantly related to anxiety symptoms ansiedad puntuaron más en el BAFT que los participantes que mostraron
and to measures of psychological inflexibility, anxiety sensitivity, and puntuaciones inferiores. Las puntuaciones en el BAFT correlacionaron
mindfulness facets. Moreover, the BAFT showed incremental validity significativamente con variedad de síntomas de ansiedad y con medidas
relative to anxiety sensitivity. Conclusions: This Spanish version of the de inflexibilidad psicológica, sensibilidad a la ansiedad y facetas de
BAFT emerges as a reliable and valid measure of cognitive fusion with mindfulness. El BAFT mostró validez incremental en relación a la
anxious thoughts and feelings. sensibilidad a la ansiedad. Conclusiones: la versión española del
Keywords: Believability of Anxious Feelings and Thoughts Questionnaire, BAFT emerge como una medida fiable y válida de fusión cognitiva con
Acceptance and Commitment Therapy, cognitive fusion, anxiety pensamientos y sentimientos ansiógenos.
disorders. Palabras clave: Cuestionario de Credibilidad de Sentimientos y
Pensamientos Ansiógenos, Terapia de Aceptación y Compromiso, fusión
cognitiva, trastornos de ansiedad.

Cognitive fusion is a central process of the Acceptance and which usually leads to engaging in experiential avoidance strategies
Commitment Therapy (ACT; Hayes, Strosahl, & Wilson, 1999) (e.g., suppression, distraction, worry, rumination, etc.) when these
model of psychopathology and, more specifically, of anxiety experiences have aversive functions.
disorders. Cognitive fusion refers to a verbal process by which For instance, consider the case of Generalized Anxiety Disorder
individuals become attached to private experiences (e.g., thoughts, (GAD). Individuals diagnosed with this disorder tend to get fused
memories, sensations, etc.) and fail to discriminate that they are with uncertain thoughts about the future (e.g., “what-if thoughts”)
only ongoing experiences that do not necessarily have to guide without discriminating that they are just psychological experiences
and, thus, they do not need to react to them in a particular way.
behavior. Therefore, when individuals are fused with their private
When this happens, individuals with GAD usually react by rigidly
experiences, they tend to act according to their literal content,
applying experiential avoidance strategies (e.g., worry) that are
useful in the short term because they usually lead to immediate
Received: July 13, 2013 • Accepted: February 13, 2014 reduction of these aversive experiences, but are ineffective in the
Corresponding author: Francisco J. Ruiz long term because the “what-if thoughts” are typically extended,
Facultad de Ciencias Sociales y Humanas provoking further cognitive fusion with them, and engagement
Universidad de Zaragoza
44003 Teruel (Spain) with worry. Even worse, worry itself usually becomes a source of
e-mail: franruiz@unizar.es suffering, and individuals fused with it react by applying further

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The Spanish version of the Believability of Anxious Feelings and Thoughts Questionnaire

experiential avoidance strategies (e.g., suppression, distraction, students, and 35.9% were college graduates. They were recruited
etc.). In conclusion, cognitive fusion both with “what-if thoughts” from undergraduate students and personal contacts.
and worry is a central aspect of GAD because it prevents individuals Sample 3. The sample consisted of 289 participants (59.5%
from acknowledging that such thoughts are only psychological females) with age ranging between 22 and 82 years (M = 35.38,
experiences and that they can choose to behave according to those SD = 8.63). The relative educational level of the participants
experiences (i.e., inflexibly engaging in experiential avoidance was: 7.3% primary studies, 32.8% mid-level study graduates, and
strategies) or according to what is important for them in the long 59.9% were college graduates. They responded to an anonymous
term (i.e., goals and values). internet survey distributed through social media. All of them were
As seen in the previous example, cognitive fusion plays an Spanish speakers. Thirty-six percent reported having received
important role in anxiety disorders because, when individuals do psychological or psychiatric treatment at some time, but only 6.6%
not have the skills to distance themselves from anxious thoughts were currently in treatment. Also, 4.8% of participants reported
and feelings and to behave under the control of what is important for consumption of some psychotropic medication.
them (i.e., cognitive defusion and values processes), they usually
get trapped in the experiential avoidance loops that characterize Instruments
these disorders (e.g., Luciano, Valdivia-Salas, & Ruiz, 2012).
Indeed, psychological interventions aimed at developing cognitive Believability of Anxious Feelings and Thoughts Questionnaire
defusion skills, such as ACT, are proving to be effective in the (BAFT; Herzberg et al., 2012). The BAFT is a self-report measure
treatment of anxiety disorders (see reviews in Hayes, Luoma, of cognitive fusion with anxious thoughts and feelings. It consists
Bond, Masuda, & Lillis, 2006; Ruiz, 2012). Furthermore, a couple of 16 items representing different thoughts which are rated on a
of recent studies have shown that traditional cognitive behavioral 7-point Likert-type scale ranging from 1 (not at all believable) to 7
therapy may also work by promoting cognitive defusion (Arch, (completely believable) to the extent that the individual believes in
Wolitzky-Taylor, Eifert, & Craske, 2012; Forman, Chapman, them. A hierarchical factor structure of the BAFT with three lower
Herbert, Goetter, Yuen, & Moitra, 2012) although this is not a main order factors and one hierarchical factor was found. The three lower
aim of the treatment. order factors were labeled Somatic Concerns (fusion with somatic
In accordance with the relevance of analyzing the role of concerns: items 8, 9, 10, 11, and 12), Emotion Regulation (fusion
cognitive fusion in anxiety disorders, Herzberg, Sheppard, Forsyth, with excessive struggle with and control of emotions: items 4, 13,
Credé, Earleywine, and Eifert (2012) have recently developed a 14, 15, and 16), and Negative Evaluation (fusion with negative
self-report measure of this construct: the Believability of Anxious evaluation of anxious thoughts and feelings: items 1, 2, 3, 5, 6, and
Feelings and Thoughts Questionnaire (BAFT). The BAFT was 7). The internal consistency of the total BAFT score was excellent
designed to measure cognitive fusion with anxious thoughts and (.90 and .91 for the undergraduate and highly anxious samples,
feelings and has shown excellent internal consistency both in respectively) and adequate for its subscales.
undergraduate and highly anxious samples. A hierarchical factor Acceptance and Action Questionnaire - II (AAQ-II; Bond et
structure with three lower order factors (somatic concerns, emotion al., 2011). The AAQ-II is a 7-item 7-point Likert-type measure
regulation, and negative evaluation) and one hierarchical factor of experiential avoidance/psychological inflexibility. The items
was found as the most adequate fit for the BAFT structure. The reflect: (a) unwillingness to experience unwanted emotions and
BAFT also showed strong construct validity with other process thoughts, and (b) the inability to be in the present moment and
and outcome measures, incremental validity in relation to anxiety behave according to value-directed actions when experiencing
sensitivity, strong test-retest reliability after twelve weeks, and unwanted psychological events. We used the Spanish version by
responsiveness to treatment in several studies (e.g., Arch et al., Ruiz, Langer, Luciano, Cangas, and Beltrán (2013), which has
2012; Herzberg et al., 2012). In conclusion, the BAFT has been shown good psychometric properties (mean alpha of .88).
shown to be a reliable and valid measure of cognitive fusion with Penn State Worry Questionnaire (PSWQ; Meyer, Miller,
anxiety experiences. Metzeger, & Borkovec, 1990). The PSWQ is a 16-item 5-point
The current study aimed to analyze the psychometric properties Likert-type self-report instrument that was designed for evaluating
of the Spanish version of the BAFT with three samples from the permanent and unspecific degree of worry that characterizes
independent studies (total N = 598). GAD. PSWQ internal consistency is high, within an alpha range
between .93 and .95, and it shows good test-retest reliability and
Method discriminant validity. We administered the Spanish version by
Sandín, Chorot, Valiente, and Lostao (2009), which showed similar
Participants properties to the original PSWQ version.
Anxiety Sensitivity Index (ASI; Peterson & Reiss, 1992). The
Sample 1. Participants in this sample were 105 undergraduate ASI is a 16-item, 5-point Likert-type scale that aims to measure
labor science students from the south of Spain (74.3% females), the fear of experiencing anxiety symptoms. Anxiety sensitivity is a
with an age range of 19 to 48 years (M = 23.17, SD = 4.41). central aspect of the anxiety expectancy theory and was proposed
They responded to a packet of questionnaires in their respective as a predisposing factor for developing anxiety disorders. The
classrooms. Spanish version of the ASI has good psychometric properties in
Sample 2. This sample consisted of 204 participants from the clinical and normal populations, an adequate factor structure and
south of Spain, with age ranging between 18 and 68 years (M = convergent and discriminant validity (e.g., Sandín, Chorot, &
30.4, SD = 10.86). Sixty-one percent were females. The relative McNally, 2001).
educational level of the participants was as follows: 14.1% primary Five Facets Mindfulness Questionnaire (FFMQ; Baer, Smith,
studies, 27.2% mid-level study graduates, 22.8% undergraduate Hopkins, Krietemeyer, & Toney, 2006). The FFMQ is a 39-item,

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Francisco J. Ruiz, Paula Odriozola-González and Juan C. Suárez-Falcón

5-point Likert-type scale that assesses the following five facets Data analysis
of mindfulness: observing, describing, acting with awareness,
nonjudging of inner experience, and nonreactivity to inner Factor analyses were computed with Factor 9.2© (Lorenzo-
experience. We used the Spanish version by Cebolla, García- Seva & Ferrando, 2006) while the remaining data analyses were
Palacios, Soler, Guillen, Baños, and Botella (2012), which conducted with SPSS 17.0©. First, the Kaiser-Meyer-Olkin index
has shown good internal consistency (alphas from .81 to .91), and the Bartlett sphericity test were computed to determine
convergent validity, and the same factor structure as the original whether the data as a whole were apt for conducting factor
FFMQ. analyses. Subsequently, an exploratory maximum likelihood factor
Metacognitions Questionnaire-30 (MCQ-30; Wells & analysis with direct oblimin rotation was conducted to allow for
Cartwright-Hatton, 2004). The MCQ-30 is a short version of the correlations between the factors. The number of factors extracted
MCQ-65. It is a 30-item, 4-point Likert-type scale that contains was determined according to a parallel analysis (Hayton, Allen, &
the following five factors: Positive Beliefs about Worry, Negative Scarpello, 2004). Second, as in Herzberg et al. (2012), the Schmid-
Beliefs about Uncontrollability and Danger of Worry, Beliefs Leiman transformation (Schmid & Leiman, 1957) was computed
about the Need to Control Thoughts, Cognitive Confidence, to assess the presence of a higher order factor. This statistical
and Cognitive Self-Consciousness. Only the first three factors procedure performs a secondary exploratory factor analysis (EFA)
were administered in this study. The MCQ-30 has shown good using the latent factor intercorrelations obtained from the previous
internal consistency, convergent validity, and acceptable test-retest EFA. Additionally, the syntax developed by Wolf and Preising
reliability. We used the Spanish version employed by Odriozola- (2005) for SPSS was used to compute the total extracted variance
González (2011), which showed good internal consistency in the accounted for the higher order factor. Third, an internal replication
subscales administered in the current study (alphas from .78 to analysis of the exploratory factor analysis was conducted according
.84). to guidelines proposed by Osborne and Fitzpatrick (2012). For this
Beck Anxiety Inventory (BAI; Beck & Steer, 1990). The BAI purpose, the whole data set was split into two samples via random
is a widely used self-report measure of anxious symptomatology. assignment using SPSS 17 and their factor loadings and structures
It is a 21-item, 4-point Likert-type scale, with each item reflecting were compared using Factor 9.2. To claim for strong replication:
an anxiety symptom. Numerous psychometric studies warrant (a) the basic structure should be the same, (b) the items should be
its reliability and validity. We used the Spanish version by Sanz grouped in the same factors, and (c) the factor loadings should be
and Navarro (2003), which has shown adequate reliability (alpha roughly equivalent in magnitude (with squared differences below
of .93) and validity concerning its content, factor structure and the cutoff of .04). Fourth, Cronbach’s alphas were computed to
discriminant ability. explore the internal consistency of the BAFT providing confidence
Depression Anxiety and Stress Scales-21 (DASS-21; Antony, intervals that were computed according to Duhachek and Iacobucci
Bieling, Cox, Enns, & Swinson, 1998). The DASS-21 is a 21- (2004). Descriptive data were also calculated, and scores on
item, 4-point Likert-type scale consisting of sentences describing the BAFT were compared, computing Student’s t, between
negative emotional states. It contains three subscales (Depression, participants with scores above and below the cutoffs on the BAI,
Anxiety, and Stress) and has shown good internal consistency and PSWQ (Sample 1), and DASS-21 (Samples 2 and 3). Fifth, zero-
convergent and discriminant validity. We used the Spanish version order correlations between the BAFT and the other scales were
by Daza, Novy, Stanley, and Averill (2002), which has shown good computed. Lastly, incremental validity of the BAFT in relation to
psychometric properties (alphas of the subscales from .73 to .81) anxiety sensitivity was analyzed by computing partial correlations
(Fonseca-Pedrero, Paino, Lemos-Giráldez, & Muñiz, 2010). with other relevant constructs after controlling for the ASI.

Procedure Results

We translated the BAFT into Spanish following the Factor structure


recommendations proposed by Muñiz and Hambleton (1996).
Thus, we selected two translators, one familiar with the Spanish Data were apt for conducting a factor analysis according to the
culture and another familiar with that of the USA, and used the Kaiser-Meyer-Olkin index (.92) and the Bartlett sphericity test (χ2
“back-translation” method; that is, the first translator translated the = 5035.6, p<.0001). Table 1 shows that two factors were extracted
questionnaire into Spanish, and this translation was then translated according to the parallel analysis, accounting for 56.4% of the
back into English by the second one (see items translation in Table variance. The first factor represented twelve items and was labeled
1). Then, the minimal discrepancies between both translations Negative Evaluation. It contained all items from the Somatic
were resolved by the authors of the study as experts in ACT. Lastly, Concerns and Negative Evaluation subscales of the original BAFT
we administered the BAFT to five people in order to analyze the version plus one item from the original Emotion Regulation
understanding of the items. subscale. The second factor consisted of four of the five items from
Participants were recruited as described above. Individuals the original Emotion Regulation subscale. Scores on both factors
who provided informed consent were given a questionnaire packet were highly correlated with each other (r = .54) and with the BAFT
including some instruments. Specifically, both the BAFT and total score (r = .96 and .76, respectively).
AAQ-II were administered to all samples; the PSWQ, BAI, and Table 1 also shows the loadings of individual items onto the
FFMQ were applied to Sample 1; the DASS-21 to Sample 2 and 3; general factor after conducting the Schimd-Leiman transformation.
the ASI to Samples 1 and 2, and the MCQ-30 to Sample 3. Upon All items seemed to represent the general factor because they
completion of the study, participants were debriefed about the aims showed loadings above .30 (Tabachnick & Fiddell, 2007). This
of the study and thanked for their participation. general factor accounted for 52% of the variance, a proportion

310
The Spanish version of the Believability of Anxious Feelings and Thoughts Questionnaire

Table 1
Factor loadings from Maximum Likelihood Factor Analysis (MLFA), loadings of the General Factor according to the Schmid-Leiman transformation, alpha values, means
scores and standard deviations of each factor

Factor loadings Schmid-Leiman


BAFT item from MLFA transformation

1 2 General Factor

Negative evaluation
1. Necesito conseguir manejar mi ansiedad y miedo para tener la vida que quiero [I need to get a handle on my anxiety and fear for me to have the .63 .08 .46
life I want]
2. Mostrarse nervioso no es bueno y me causa sufrimiento [Appearing nervous is not good and causes me to suffer] .58 .19 .52
3. Realmente no puedo hacer las cosas que quiero hacer cuando tengo ansiedad y miedo [I can’t really do the things that I want to do when I have .58 .23 .56
anxiety and fear]
5. Si fuera como otras personas, sería capaz de mantener el control de mis pensamientos y sensaciones ansiosas [If I were like other people, I would .70 -.03 .40
be able to get a grip on my anxious thoughts and feelings]
6. Mis pensamientos y sensaciones ansiosas son un problema [My anxious thoughts and feelings are a problem] .78 .04 .51
7. Estoy seguro de que me sentiré avergonzado y de que haré el ridículo cuando la gente se dé cuenta de lo nervioso e inseguro que me siento [I am .77 -.06 .42
sure to be embarrassed and make a fool of myself when other people notice how nervous and shaky I feel]
8. Las sensaciones corporales poco habituales me asustan y necesito hacer algo para reducirlas o librarme de ellas antes de hacer cualquier otra cosa .73 -.01 .44
[Unusual body sensations are scary and something I need to act on to reduce or get rid of before I can do anything else]
9. Mis pensamientos y sensaciones ansiosas no son normales [My anxious thoughts and feelings are not normal] .80 -.13 .38
10. Es importante inspeccionar mi cuerpo en busca de signos y síntomas de ansiedad para sentirme seguro [Scanning my body for signs and .68 -.10 .33
symptoms of anxiety is important to keep me safe]
11. Cuando estoy muy ansioso o asustado tengo la sensación de que pudiera estar muriéndome [When I am very anxious or afraid there is a good .56 -.02 .33
chance that I might be dying]
12. Podría llegar a perder el control cuando me siento ansioso o asustado [I could lose control of myself when I feel anxious or afraid] .57 .07 .42
13. Debo hacer algo con mi ansiedad o miedo cuando aparece [I must do something about my anxiety or fear when it shows up] .54 .29 .58

Emotion regulation
4. Debo mantener el control de mis emociones [I must stay in control of my emotions] .35 .41 .57
14. Cuando tengo pensamientos desagradables, debo sacarlos de mi mente [When unpleasant thoughts occur, I must push them out of my mind] .02 .83 .74
15. Cuando me siento mal debo luchar contra ese sentimiento para hacer que se vaya [When I feel bad, I must fight the feeling in order to make it .01 .85 .75
go away]
16. Mi felicidad y éxito dependen de lo bien que yo me sienta [My happiness and success depends on how good I feel] -.04 .65 .55

Alpha coefficient .91 .81


Scale mean 35.0 18.4
Scale SD 15.3 6.0

above the range considered as indicative of the presence of a Additionally, participants receiving psychological/psychiatric
general factor (40%-50%; Gorsuch, 1983). treatment in Sample 3 showed higher scores on the BAFT than
In the internal replication analysis, a strong replication was those who were not receiving it.
found because the two random samples had the same basic factor
structures, the items were grouped in the same factors, and the Zero-order correlations with other related constructs
factor loadings were roughly equivalent in magnitude (the higher
squared difference was .017). The overall BAFT score was correlated with all other assessed
constructs in theoretically coherent ways (see Table 4). Specifically,
Internal consistency, descriptive data and criterion validity the BAFT scores strongly correlated with anxiety and depression
symptoms as measured by the BAI, PSWQ, and DASS-21. As
Table 2 shows that Cronbach’s alpha of the overall BAFT
ranged from .88 (Sample 2) to .93 (Sample 3), with an overall
alpha of .92, 95% CI [.91, .93]. Compared to the BAFT scores in Table 2
Cronbach’s alphas and descriptive data of the full scale across samples
the nonclinical sample of the original study (M = 50.1, SD = 16.9),
scores in Samples 1 (M = 59.99, SD = 18.2) and 2 (M = 58.71, SD = Sample 1 Sample 2 Sample 3
16.7) were slightly higher, whereas scores in Sample 3 were slightly (N = 105) (N = 204) (N = 289)
lower (M = 47.4, SD = 19.9). Participants in Sample 3 showed
α .91 .88 .93
lower scores than participants in Samples 1 and 2 (p<.001). [95%CI] [.89, .94] [.85, .90] [.92, .94]
Table 3 shows that participants with scores above the cutoffs
58.71 47.40
on the BAI, PSWQ, and DASS-21 scored statistically significantly Mean score (SD) 59.99 (18.2)
(16.7) (19.9)
higher on the BAFT than those with scores below these cutoffs.

311
Francisco J. Ruiz, Paula Odriozola-González and Juan C. Suárez-Falcón

expected, correlations with related constructs were strong (e.g., Regulation factor showed lower correlations with symptomatology
AAQ-II, ASI, and MCQ-30 subscales). Lastly, correlations with and other constructs such as the AAQ-II and ASI.
the FFMQ subscales of Nonjudging and Acting with Awareness
were strong and in the expected direction. Incremental validity
As in Herzberg et al. (2012), the Negative Evaluation and
Emotion Regulation factors of the BAFT showed a somewhat The overall BAFT score showed incremental validity in relation
different pattern of correlations. Specifically, the Emotion to anxiety sensitivity as measured by the ASI, as the correlations
with other relevant measures remained significant at p<.01 even after
Table 3 controlling for it. Specifically, in Sample 1, BAFT scores showed
Mean BAFT scores of participants who scored above and below the cutoffs of significant partial correlations with the AAQ-II (.34), PSWQ (.36),
the BAI (15 points), PSWQ (62), and DASS-21 (23), or who were receiving BAI (.48), Acting with Awareness (-.31), and Nonjudging (-.62).
psychological or psychiatric treatment
In Sample 2, BAFT scores remained significantly correlated with
Sample 2 the AAQ-II (.50), DASS-21 total score (.34), and its Depression,
Sample 1 (N = 105) Sample 3 (N = 289)
(N = 204) Anxiety and Stress subscales (.28, .23, and .35, respectively).
DASS-21 – DASS-21 – Receiving
BAI>15 PSWQ>62
Total>23 Total>23 treatment
Discussion

BAFT 74.29 68.81 69.64 72.39 61.22 The data obtained provide promising evidence that this Spanish
Scores (16.1) (17.8) (14.4) (20.8) (23.19) version of the BAFT is a valid and reliable measure of cognitive
“Clinical” N = 34 N = 16 N = 59 N = 39 N = 19
fusion with anxious thoughts and feelings. Overall, the current
BAFT 52.08 58.52 53.83 43.50 46.43 data are very similar to those obtained by Herzberg et al. (2012).
Scores (14.8) (17.6) (15.5) (16.8) (19.4)
Specifically, the results showed that the BAFT has very good internal
“Non clini- N = 68 N = 86 N = 138 N = 250 N = 270
cal” consistency (overall α = .92), construct validity (correlations were
in the expected direction with anxiety and depression symptoms
Student’s T 6.71*** 2.35* 6.71*** 9.67*** 3.18**
and related constructs), criterion validity (participants receiving
* p<.05; ** p<.01; *** p≤.001 psychological/psychiatric treatment or experiencing mild levels
of anxiety symptoms scored significantly higher on the BAFT),
and incremental validity (BAFT scores were associated with other
Table 4 variables even when controlling for anxiety sensitivity).
Zero-order correlations between the BAFT scores and other relevant self-report The factor structure of the BAFT found in this study differs slightly
measures
from the one obtained by Herzberg et al. (2012). According to the
BAFT – BAFT – parallel analysis, only two correlated factors were extracted from our
BAFT –
Measure S N
total
Negative Emotion overall data. However, these two factors largely overlapped with the
evaluation regulation three factors extracted in the original study. The first factor consisted
1 105 .49** .49** .35**
of twelve elements including all items from the Somatic Concerns
AAQ-II 2 204 .65** .68** .24** and Negative Evaluations subscales plus one item from the Emotion
3 289 .62** .67** .36** Regulation subscale. The second factor was significantly smaller
1 105 .54** .55** .37** and consisted of the remaining four items of the Emotion Regulation
ASI subscale. Thus, our results can be seen as relatively consistent with
2 204 .63** .64** .30**
BAI 1 105 .56** .58** .31*
the data by Herzberg et al. if we take into consideration that the
FFMQ – Observe 1 105 .39** .37** .31**
Somatic Concerns and Negative Evaluation factors worked very
FFMQ – Describe 1 105 -.19 -.20 -.11
similarly in that study in terms of correlations with other constructs,
FFMQ – Act with Awareness 1 105 -.45** -.49** -.21
and that their third factor only explained 6.88% of the variance
FFMQ – Nonjudging 1 105 -.68** -.66** -.55**
(eigenvalue of 1.23). It makes sense, therefore, the combination of
FFMQ – Nonreaction 1 105 -.03 -.06 .06
these two factors into a larger one. We have maintained the label
PSWQ 1 105 .49** .50** .26**
of Negative Evaluation because it seems to better represent this
factor than the label Somatic Concerns, which is more specific.
2 204 .60** .65** .17
DASS-21 – Total Furthermore, similar to the original study, our results suggested the
3 289 .64** .68** .39**
presence of a hierarchical factor structure with two first-order factors
2 204 .53** .58** .14 and a higher factor of general cognitive fusion.
DASS-21 – Depression
3 289 .53** .57** .30**
The Emotion Regulation factor showed generally lower
2 204 .52** .60** .05 correlations with anxious symptomatology and other related
DASS-21 – Anxiety
3 289 .59** .63** .35**
constructs. This is consistent with the results presented by Herzberg
DASS-21 – Stress
2 204 .56** .57** .24** et al. (2012) in their nonclinical sample. Indeed, in view of our
3 289 .64** .66** .43** factor analysis, it could be argued that the Negative Evaluation
MCQ – Positive beliefs 3 289 .22** .21** .19** factor might be used as a reduced 12-item version of the BAFT
MCQ – Negative beliefs 3 289 .63** .64** .44** that excludes fusion from counterproductive emotion regulation
MCQ – Need to control 3 289 .56** .50** .55** strategies. Further empirical research might explore this option.
Some limitations of this study are worth mentioning. First, the
* p<.01; ** p<.001
functioning of the BAFT was tested only in nonclinical samples;

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The Spanish version of the Believability of Anxious Feelings and Thoughts Questionnaire

therefore, further research is necessary in clinical samples to showed good properties in different contexts and administered in
confirm the results obtained in this study. Second, no information different forms.
was obtained concerning the diagnosis and the course of therapy In conclusion, this Spanish version of the BAFT emerges as
in participants receiving psychological/psychiatric treatment a reliable and valid measure of cognitive fusion with anxious
in Sample 3. Lastly, because the current study is a compilation thoughts and feelings. The BAFT may be a useful tool to assess
of three samples from independent studies, no methodological degrees of cognitive fusion in the context of understanding the
rationale guided the selection of the samples and the measures etiology, maintenance, and treatment of anxiety disorders. BAFT
used to analyze the construct validity of the BAFT. Although this is scores might also help clinicians to improve case formulation and
a clear limitation, it can also be seen as a virtue because the BAFT to monitor decreases in cognitive fusion throughout treatment.

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